Information Collection Request

Quality Payment Program (QPP)/Merit-Based Incentive Payment System (MIPS) (CMS-10621)

ICR 202409-0938-018 · OMB 0938-1314 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Appendix L 2024 MVP Registration Form Form and Instruction New Repair queued
Form Appendix K 2023 Partial QP Election Form (for submission in CY 2024) Form and Instruction New Repair queued
Form Appendix J 2024 MVP Candidates: Instructions and Template Form and Instruction New Available
Form Appendix I1 2024 MIPS Extreme and Uncontrollable Circumstances Exception Application Guide Form and Instruction New Available
Form Appendix H1 2024 MIPS Promoting Interoperability Hardship Exception Application Guide Form and Instruction New Available
Form Appendix G Improvement Activities Performance Category, 2024 Call for Activities Submission Form Form and Instruction New Available
Form Appendix F1 2024 Peer Reviewed Journal Article Requirement Template Form and Instruction New Repair queued
Form Appendix E1 Measures under Consideration 2024 Data Template for Candidate Measures Form and Instruction New Available
Form Appendix D 2024 Submission Form for Requests for Qualifying Alternative Payment Model Participant (QP) Determinations under the All-Payer Combination Option Form and Instruction New Available
Form Appendix C 2024 Submission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced Alternative Payment Model Determinations (Eligible Clinician Initiated Submission Form and Instruction New Available
Form Appendix B 2024 Submission Form for Other Payer Requests for Other Payer Advanced Alternative Payment Model Determinations (Payer Initiated Submission Form) Form and Instruction New Available
Form Appendix A1 2025 MIPS QCDR and Registry Self-nomination User Guide Form and Instruction New Available
Form Appendix A1 CY 2025 Performance Period/2027 MIPS Payment Year Form and Instruction New Repair queued
Form Appendix L 2023 MVP Registration Form Form and Instruction Removed Repair queued
Form Appendix K1 2023 Partial QP Election Form Form and Instruction Removed Repair queued
Form Appendix J1 2024 MVP Candidates: Instructions and Template Form and Instruction Removed Repair queued
Form Appendix I1 2023 MIPS Extreme and Uncontrollable Circumstances Exception Application Guide Form and Instruction Removed Repair queued
Form Appendix H1 2023 MIPS Promoting Interoperability Hardship Exception Application Guide Form and Instruction Removed Available
Form Appendix G1 Improvement Activities Performance Category, 2024 Call for Activities Submission Form Form and Instruction Removed Available
Form Appendix F 2023 Peer Reviewed Journal Article Requirement Template Form and Instruction Removed Repair queued
Form Appendix E Measures under Consideration 2023 Data Template for Candidate Measures Form and Instruction Removed Available
Form Appendix D1 2024 Submission Form for Requests for Qualifying Alternative Payment Model Participant (QP) Determinations under the All-Payer Combination Option Form and Instruction Removed Repair queued
Form Appendix C1 2024 Submission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced Alternative Payment Model Determinations (Eligible Clinician Initiated Submission Form) Form and Instruction Removed Available
Form Appendix B1 2024 Submission Form for Other Payer Requests for Other Payer Advanced Alternative Payment Model Determinations (Payer Initiated Submission Form) Form Removed Available
Form Appendix A1 2024 MIPS QCDR and Registry Self-nomination User Guide Form and Instruction Removed Available
Form Appendix A1 CY 2024 Performance Period/2026 MIPS Payment Year Burden Summary Form and Instruction Removed Repair queued
CMS-10621_Supporting_Statement_B_508_(CMS-1807-P version 1).docx Supporting Statement B Uploaded 2024-09-17 Repair queued
CMS-10621_Supporting_Statement_B_508_(CMS-1807-P version 1).docx Supporting Statement B Uploaded 2024-09-17 Repair queued
CMS-10621_Supporting_Statement_A_508_(CMS-1807-P version 2).docx Supporting Statement A Uploaded 2024-09-17 Repair queued
CMS-10621_Supporting_Statement_A_508_(CMS-1807-P version 2).docx Supporting Statement A Uploaded 2024-09-17 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
271014 CY 2025 Performance Period/2027 MIPS Payment Year Form and Instruction New2024 MVP Registration Form
271014 CY 2025 Performance Period/2027 MIPS Payment Year Form and Instruction New2023 Partial QP Election Form (for submission in CY 2024)
271014 CY 2025 Performance Period/2027 MIPS Payment Year Form and Instruction New2024 MVP Candidates: Instructions and Template
271014 CY 2025 Performance Period/2027 MIPS Payment Year Form and Instruction New2024 MIPS Extreme and Uncontrollable Circumstances Exception Application Guide
271014 CY 2025 Performance Period/2027 MIPS Payment Year Form and Instruction New2024 MIPS Promoting Interoperability Hardship Exception Application Guide
271014 CY 2025 Performance Period/2027 MIPS Payment Year Form and Instruction NewImprovement Activities Performance Category, 2024 Call for Activities Submission Form
271014 CY 2025 Performance Period/2027 MIPS Payment Year Form and Instruction New2024 Peer Reviewed Journal Article Requirement Template
271014 CY 2025 Performance Period/2027 MIPS Payment Year Form and Instruction NewMeasures under Consideration 2024 Data Template for Candidate Measures
271014 CY 2025 Performance Period/2027 MIPS Payment Year Form and Instruction New2024 Submission Form for Requests for Qualifying Alternative Payment Model Participant (QP) Determinations under the All-Payer Combination Option
271014 CY 2025 Performance Period/2027 MIPS Payment Year Form and Instruction New2024 Submission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced Alternative Payment Model Determinations (Eligible Clinician Initiated Submission
271014 CY 2025 Performance Period/2027 MIPS Payment Year Form and Instruction New2024 Submission Form for Other Payer Requests for Other Payer Advanced Alternative Payment Model Determinations (Payer Initiated Submission Form)
271014 CY 2025 Performance Period/2027 MIPS Payment Year Form and Instruction New2025 MIPS QCDR and Registry Self-nomination User Guide
271014 CY 2025 Performance Period/2027 MIPS Payment Year Form and Instruction New
250664 CY 2024 Performance Period/2026 MIPS Payment Year Burden Summary Form and Instruction Removed2023 MVP Registration Form
250664 CY 2024 Performance Period/2026 MIPS Payment Year Burden Summary Form and Instruction Removed2023 Partial QP Election Form
250664 CY 2024 Performance Period/2026 MIPS Payment Year Burden Summary Form and Instruction Removed2024 MVP Candidates: Instructions and Template
250664 CY 2024 Performance Period/2026 MIPS Payment Year Burden Summary Form and Instruction Removed2023 MIPS Extreme and Uncontrollable Circumstances Exception Application Guide
250664 CY 2024 Performance Period/2026 MIPS Payment Year Burden Summary Form and Instruction Removed2023 MIPS Promoting Interoperability Hardship Exception Application Guide
250664 CY 2024 Performance Period/2026 MIPS Payment Year Burden Summary Form and Instruction RemovedImprovement Activities Performance Category, 2024 Call for Activities Submission Form
250664 CY 2024 Performance Period/2026 MIPS Payment Year Burden Summary Form and Instruction Removed2023 Peer Reviewed Journal Article Requirement Template
250664 CY 2024 Performance Period/2026 MIPS Payment Year Burden Summary Form and Instruction RemovedMeasures under Consideration 2023 Data Template for Candidate Measures
250664 CY 2024 Performance Period/2026 MIPS Payment Year Burden Summary Form and Instruction Removed2024 Submission Form for Requests for Qualifying Alternative Payment Model Participant (QP) Determinations under the All-Payer Combination Option
250664 CY 2024 Performance Period/2026 MIPS Payment Year Burden Summary Form and Instruction Removed2024 Submission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced Alternative Payment Model Determinations (Eligible Clinician Initiated Submission Form)
250664 CY 2024 Performance Period/2026 MIPS Payment Year Burden Summary Form Removed2024 Submission Form for Other Payer Requests for Other Payer Advanced Alternative Payment Model Determinations (Payer Initiated Submission Form)
250664 CY 2024 Performance Period/2026 MIPS Payment Year Burden Summary Form and Instruction Removed2024 MIPS QCDR and Registry Self-nomination User Guide
250664 CY 2024 Performance Period/2026 MIPS Payment Year Burden Summary Form and Instruction Removed

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/28/2027 36 Months From Approved 02/28/2027
191,225 0 191,225
728,142 0 728,142
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
CY 2024 Performance Period/2026 MIPS Payment Year Burden Summary Appendix J1, Appendix A1, Appendix B1, Appendix D1, Appendix E, Appendix F, Appendix G1, Appendix H1, Appendix K1, Appendix L, Appendix C1, Appendix I1 ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,  
CY 2025 Performance Period/2027 MIPS Payment Year Appendix A1, Appendix B, Appendix C, Appendix D, Appendix F1, Appendix H1, Appendix I1, Appendix J, Appendix L, Appendix G, Appendix K, Appendix E1 ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,  



Reginfo record details
  No